Provider Demographics
NPI:1669195053
Name:ARMS OUTSTRETCHED, INC
Entity type:Organization
Organization Name:ARMS OUTSTRETCHED, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSEE
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:MOJICA
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:310-706-1942
Mailing Address - Street 1:327 W. REGENT STREET
Mailing Address - Street 2:N/A
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-1105
Mailing Address - Country:US
Mailing Address - Phone:310-671-6771
Mailing Address - Fax:310-671-6771
Practice Address - Street 1:325 W. REGENT STREET
Practice Address - Street 2:N/A
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-1105
Practice Address - Country:US
Practice Address - Phone:310-671-6771
Practice Address - Fax:310-671-6771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities